Should I Get Screened for Sleeping Sickness A Qualitative Study in Kasai Province, Democratic Republic of Congo 英文参考文献.docVIP

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Should I Get Screened for Sleeping Sickness A Qualitative Study in Kasai Province, Democratic Republic of Congo 英文参考文献.doc

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Should I Get Screened for Sleeping Sickness A Qualitative Study in Kasai Province, Democratic Republic of Congo 英文参考文献

ShouldIGetScreenedforSleepingSickness?A QualitativeStudyinKasaiProvince,DemocraticRepublic ofCongo AlainMpanya1.,DavidHendrickx2*.,MimyVuna3,AlbertKanyinda4,CrispinLumbala1,Vale′ry Tshilombo5,PatrickMitashi6,OscarLuboya7,VictorKande1,MarleenBoelaert2,PierreLefe`vre2 ,Pascal Lutumba3,6 1ProgrammeNationaldeLuttecontrelaTrypanosomiaseHumaineAfricain(PNLTHA),Kinshasa,DemocraticRepublicofCongo,2InstituteofTropicalMedicine,Antwerp, Belgium, 3Institut Nationale de Recherche Biome′dicale, Kinshasa, Democratic Republic of Congo, 4Bureau Diocesain des ?uvres Me′dicales, Mbuji-mayi, Democratic RepublicofCongo,5Universite′deMbuji-mayi,Mbuji-mayi,DemocraticRepublicofCongo,6Universite′deKinshasa,Kinshasa,DemocraticRepublicofCongo,7Universite′ deLubumbashi,Lubumbashi,DemocraticRepublicofCongo Abstract Background:ControlofhumanAfricantrypanosomiasis(sleepingsickness)intheDemocraticRepublicofCongoisbased onmasspopulationactivescreeningbymobileteams.Althoughgenerallyconsideredasuccessfulstrategy,thecommunity participationratesinthesescreeningactivitiesandensuingtreatmentremainlowintheKasai-Orientalprovince.Abetter understandingofthereasonsbehindthisobservationisnecessarytoimproveregionalcontrolactivities. Methods:ThirteenfocusgroupdiscussionswereheldinfivehealthzonesoftheKasai-Orientalprovincetogaininsightsin theregionalperceptionsregardingsleepingsicknessandthenationalcontrolprogramme’sactivities. PrincipalFindings:Sleepingsicknessiswellknownamongthepopulationandisconsideredaseriousandlife-threatening disease.Thediseaseisacknowledgedtohavesevereimplicationsfortheindividual(e.g.,persistenceofmanicperiodsand trembling hands, evenafter treatment), atthe familylevel (e.g.,income loss,conflicts, separations)andfor communities (e.g.,disruptionofcommunitylifeandactivities).Severalimportantbarrierstoscreeningandtreatmentwereidentified.Fear ofdrugtoxicity,lackofconfidentialityduringscreeningprocedures,financialbarriersandalackofcommunicationbetween themobileteamsandlocalcommunitiesweredes